ABSTRACT

Purpose

This study aimed to assess sitting skills and trunk control in children with obstetric brachial plexus palsy (OBPP) and investigate the effect of these skills on upper extremity function.

Methods

A total of 106 children with OBPP aged 10–18 months were included in this study. Injury severity was determined with Narakas Classification. The Gross Motor Function Measurement Sitting Sub-scale was used to assess sitting skills, while the Sitting Assessment Scale was used to evaluate the trunk control. The upper extremity functions were assessed with using the Active Movement Scale and the Modified Mallet Score.

Results

As the severity of injury increased, sitting skills and trunk control values decreased (p = .0001). In addition, upper extremity function decreased with the decreasing sitting skills and trunk control (p = .0001).

Conclusion

Rehabilitation approaches should involve approaches that aim to increase trunk control in addition to programs targeting the extremity function in children with OBPP.

中文翻译：

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产科臂丛神经麻痹患儿躯干控制与上肢功能的关系

摘要

目的

本研究旨在评估产科臂丛神经麻痹 (OBPP) 儿童的坐姿技能和躯干控制能力，并探讨这些技能对上肢功能的影响。

方法

本研究共纳入 106 名 10-18 个月的 OBPP 儿童。损伤严重程度由 Narakas 分类确定。粗大运动功能测量坐姿分量表用于评估坐姿技能，而坐姿评估量表用于评估躯干控制。使用主动运动量表和改良槌评分评估上肢功能。

结果

随着损伤严重程度的增加，坐姿技能和躯干控制值下降（p = .0001）。此外，上肢功能随着坐姿和躯干控制能力的下降而下降（p = .0001）。

结论

除了针对 OBPP 儿童肢体功能的计划外，康复方法还应包括旨在增加躯干控制的方法。